REVIVE HEALTH AND WELLNESS
NPI 1114794385
Nurse Practitioner - Family in Hot Springs, AR

Q: What is Revive Health And Wellness's NPI number?

The NPI number for Revive Health And Wellness is 1114794385. It was assigned to this organization in the NPPES registry on December 7, 2023.

Q: What is Revive Health And Wellness's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since December 07, 2023

1636 HIGDON FERRY RD, HOT SPRINGS, AR 71913(501) 382-1577(501) 601-1280 Get Directions Write a Review

NPPES record last updated: February 16, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 22, 2024, Dec 7, 2023 (2 updates tracked since 2023).

On this page

About Revive Health And Wellness NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REVIVE HEALTH AND WELLNESS (NPI 1114794385) is a healthcare organization registered as a family in Hot Springs, Arkansas and active in the NPI registry since December 2023. The organization maintains a secondary practice location in Malvern and lists Courtney D Mckinney, Ceo, as its authorized official.

NPPES Registry Identity

NPI1114794385

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameREVIVE HEALTH AND WELLNESS

Location Address1636 HIGDON FERRY RDHot Springs, AR 71913-6912

Mailing Address121 Daisy LnMalvern, AR 72104-5988 · (501) 382-1577 · Fax (501) 601-1280

Phone(501) 382-1577

Fax(501) 601-1280

Organization SubpartNo

Authorized OfficialCourtney D MckinneyCeo · (501) 382-1577

Enumeration DateDecember 7, 2023

Last NPPES UpdateFebruary 16, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 16, 2026

✔ NPI 1114794385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

1636 HIGDON FERRY RD, Hot Springs, AR 71913

Open in Google Maps ↗

Secondary Practice Location 1

Location 11517 S Main StMalvern, AR 72104-5231 · Phone (501) 382-1578 · Fax (501) 601-1280

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Revive Health And Wellness is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 5 clinicians reassign Medicare billing to Revive Health And Wellness, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Lacy Holley

Nurse Practitioner

NPI 1447893987

1662 HIGDON FERRY RD STE 200
Hot Springs, AR 71913

(501) 623-2781

✔ PECOS✔ Accepts MedicareSame address

Michelle Auld

Nurse Practitioner

NPI 1336699941

120 ADCOCK RD SUITE D
Hot Springs, AR 71913

(501) 547-5691

✔ PECOS✔ Accepts Medicare3.7 mi

Absalom Tilley, M.D.

Internal Medicine

NPI 1275558918

1003 SCHNEIDER DR
Malvern, AR 72104

(501) 337-5678

✔ PECOS✔ Accepts Medicare18 mi

Courtney Mckinney, NP

Nurse Practitioner

NPI 1497299523

121 DAISY LN
Malvern, AR 72104

(501) 337-6246

✔ PECOS✔ Accepts Medicare20 mi

Kindra Witkowski, APRN

Nurse Practitioner

NPI 1497484505

1521 MERRILL DRIVE SUITE D240
Little Rock, AR 72211

(501) 664-3700

✔ PECOS✔ Accepts Medicare44 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Revive Health And Wellness's NPI number?

The NPI number for Revive Health And Wellness is 1114794385. It was assigned to this organization in the NPPES registry on December 7, 2023.

Where is Revive Health And Wellness located?

Revive Health And Wellness is located at 1636 Higdon Ferry Rd, Hot Springs, AR 71913. The listed phone number is (501) 382-1577.

What is Revive Health And Wellness's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Revive Health And Wellness enrolled in Medicare?

Yes. Revive Health And Wellness is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Revive Health And Wellness?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Revive Health And Wellness. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (4) and Internal Medicine (1). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Revive Health And Wellness was last updated on February 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.